Individual
ANIQA AZIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD214639
OR
208M00000X
Hospitalist Physician
Primary
MD214639
OR
390200000X
Student in an Organized Health Care Education/Training Program
PG206599
OR
Other
Enumeration date
09/25/2015
Last updated
06/08/2023
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